Background/Aim:Duodenal injury is an uncommon finding, accounting for about about 3 – 5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6 - 25%) and morbidity (30 - 60%).Patients and Methods:Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College.Results:Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected.Conclusion:Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.

Fibroadenoma, the most common breast tumor in adolescent women, usually arises in the terminal duct lobular unit, but is exceedingly rare in the male breast. The usual presentation is a painless, firm, mobile, and slow-growing lump in the breast of a woman of childbearing age. Its diagnosis is usually made by clinical examination, but ultrasound, mammography, and fine-needle aspiration often help in its confirmation. We are presenting here a rare but interesting case of a large fibroadenoma, which was present in a male breast.

Thoracic spinal psammomatous meningioma is a rare subtype of meningioma. Among diverse types of mesenchymal differentiation, osseous metaplasia is found to be still rarer. We are presenting a new case of thoracic psammomatous spinal meningioma with osseous metaplasia in a middle aged female which that gives a sense of cancellous bone in the spinal canal. To conclude, meningiomas with osseous metaplasia are very rare tumors that complicate the surgical removal in certain cases. Ossification, if predicted prior to operation with computed tomography reconstruction, makes planning of removal easier. In our case, maintained cerebrospinal fluid spaces despite hard consistency of tumor made its removal easier once cerebrospinal fluid was drained. We have submitted this article because it is very rare and curable pathology and preoperative diagnosis helps in prevention of neurological injury during its excision.

A human tail is a rare congenital anomaly with a prominent lesion from the lumbosacro-coccygeal region. It is usually classified either as a true tail or as a pseudo-tail. All the lumbosacro-coccygeal protrusions without the evidence of mesenchymal tissue are classified as pseudo-tail. The association of this rare vestigial entity along with meningomyelocele is rarer still.

No abstract